目標：疾病分類編碼的正確與完整關係到醫療研究、醫療費用的給付和未來實施診斷關係群(DRGs/PPS)的基礎。研究指出，我國疾病分類整體編碼的錯誤率高達52%，其中一個重要的因素是疾病分類人員的素質和人力。故本研究從最根本的學校教育著手，瞭解畢業生未來從事疾病分類工作的意願及其影響因素。方法：以87年度全國醫管科系中有研修疾病分類課程的應屆畢業生為研究對象，採問卷調查法，設計學習成果評量，內容包括課程內容安排、老師影響、同儕影響、自覺課程的重要性、對課程的興趣和未來從事疾病分類工作的意願六項，以分層集群抽樣法抽取樣本，發出 821份問卷，回收782份，回收率95.2% ，有效樣本780份。結果：六大項評量成果中，老師影響、自覺課程的重要性為較為正面的評價，課程內容安排、對課程的興趣、從事疾病分類工作的意願為較為負面的評價。影響未來從事疾病分類工作意願的背景因素是女性、31歲以上、夜二專學生的工作意願較高，學習評量影響因素是對課程的興趣和自覺課程的重要性。結論與建議：性別、年齡、學制、對課程的興趣和自覺課程的重要性會影響學生選擇是否從事疾病分類的工作，建議加強專科生的專業英文能力與醫學專業知識，才能在編碼過程中較為順利，亦可在全國性考試之前予以 校內模擬測驗，增加考試動機和信心。

　　　　　Objectives: Medical research, reimbursement system and classification of DRGs depend on the accuracy and completeness of disease coding. A research showed that the error rate of overall disease coding was 52% in Taiwan,and for which qualification and manpower of coding personnel are important factors. The purpose of this study was to assess college graduates' willingness to work as disease coding personnel and the influencing factors. The contents of the questionnaire included arrangement of curriculum, te aching methods and attitudes, learning atmosphere of classmates, self-sensed importance of curriculum, interests, and working willingness. Methods: Samples are collected by a stratified-cluster method. Eight hundred and twenty-one questionnaires were distributed and 780 effective cases were returned. Results: The outcome of the instructor's influence and self-sensed importance of curriculum were positive; the attitude toward the arrangement of curriculum,interests and working willingness were negative. Cha racteristic factors which influence on working willingness found that females, aged over 31, students in night schools contribute to a higher working willingness. Factors which influence on working willingness are interest toward curriculum(major) and self-sensed importance of curriculum(minor). Conclusions and suggestions: Sex,age,academic program, interest to curriculum, and self-sensed importance of curriculum are the relative factors toward working willingness.We suggested to enhance English ability an d professional medical knowledge for coding improvement. A quiz before the national examination is important for increasing the confidence and motivation of the student.